Organization
JOSE A. GONZALEZ DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE A GONZALEZ DC (PRESIDENT)
(631) 219-1706
Entity
Organization
Contact information
Practice address
1805 5TH AVE, SUITE 2, BAY SHORE, NY 11706-1761
(631) 219-1706
(631) 922-8878
Mailing address
7 MAYFIELD DR, MASTIC BEACH, NY 11951-1704
(631) 219-1706
(631) 922-8878
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
XOO8699-1
NY
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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